Digital Citizenship Pledge Form

Digital Citizenship Pledge Form — Form Fields

This education template includes 12 fields. Students acknowledge and commit to responsible digital citizenship standards at school. Free to customize and use on ZenBuild.

• Student Full Name (text, required)
• Grade Level (text, required)
• Parent or Guardian Email (email, required)
• Parent or Guardian Name (text, required)
• I will use school technology only for learning purposes (checkboxes, required)
• I will not share my password with others (checkboxes, required)
• I will treat others respectfully online (checkboxes, required)
• I will not access inappropriate websites on school devices (checkboxes, required)
• I understand consequences for policy violations (checkboxes, required)
• Have you reviewed the Acceptable Use Policy? (dropdown selection, required) — options: Yes, No - I need a copy
• Student Signature (type full name) (text, required)
• Parent Signature (type full name) (text, required)